Rural Health
Resources by Topic: Hospitals
CAH Perspectives on Collection and Use of Demographic and Social Drivers of Health Data
Describes how collecting information about social drivers of health (SDOH) can help hospitals inform treatment and discharge planning decisions and identify local health disparities. Summarizes findings from interviews with nine Critical Access Hospital (CAH) staff regarding their experiences collecting demographic and SDOH data. Highlights themes related to challenges CAH staff face in collecting this data and how CAHs utilize the data they collect.
Author(s): Madeleine Pick, Carson Crane, Megan Lahr
Date: 10/2024
Sponsoring organization: Flex Monitoring Team
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Describes how collecting information about social drivers of health (SDOH) can help hospitals inform treatment and discharge planning decisions and identify local health disparities. Summarizes findings from interviews with nine Critical Access Hospital (CAH) staff regarding their experiences collecting demographic and SDOH data. Highlights themes related to challenges CAH staff face in collecting this data and how CAHs utilize the data they collect.
Author(s): Madeleine Pick, Carson Crane, Megan Lahr
Date: 10/2024
Sponsoring organization: Flex Monitoring Team
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Frontier Community Health Integration Project (FCHIP) Demonstration Extension Fact Sheet
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration Extension, which tests new healthcare delivery models in the most sparsely populated rural counties. Identifies participating Critical Access Hospitals and models tested.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration Extension, which tests new healthcare delivery models in the most sparsely populated rural counties. Identifies participating Critical Access Hospitals and models tested.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Rural Emergency Hospital Model: Year Two Progress Report
Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Sponsoring organization: Bipartisan Policy Center
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Northern Maine Medical Center: A Rural Hospital Gaining Momentum in its Work Toward Quality Improvement
Profiles a prospective payment hospital in northern Maine that engaged in the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP), focusing on financial sustainability, cost efficiency, and quality improvement. Highlights hospital accomplishments and improvements via participation of the project.
Date: 10/2024
Sponsoring organization: National Rural Health Resource Center
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Profiles a prospective payment hospital in northern Maine that engaged in the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP), focusing on financial sustainability, cost efficiency, and quality improvement. Highlights hospital accomplishments and improvements via participation of the project.
Date: 10/2024
Sponsoring organization: National Rural Health Resource Center
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Interfacility Transfer of Children With Time-Sensitive Surgical Conditions, 2002-2017
Explores changes in the number of interfacility transfers and travel distance for children with four time-sensitive surgical conditions across nine states between 2002 and 2017. Examines whether the changes in transfers and travel distance varied by patients' urban or rural residence.
Author(s): Kyle J. Van Arendonk, Elisabeth T. Tracy, Jonathan S. Ellison, et al.
Citation: JAMA Network Open, 7(10), e2440251
Date: 10/2024
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Explores changes in the number of interfacility transfers and travel distance for children with four time-sensitive surgical conditions across nine states between 2002 and 2017. Examines whether the changes in transfers and travel distance varied by patients' urban or rural residence.
Author(s): Kyle J. Van Arendonk, Elisabeth T. Tracy, Jonathan S. Ellison, et al.
Citation: JAMA Network Open, 7(10), e2440251
Date: 10/2024
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Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021
Examines the rate of adult inpatient hospital stays involving five healthcare-associated infections (HAI) in 2019 and 2021. Presents data from an analysis of 2019 and 2021 State Inpatient Databases (SID) from public, non-federal acute-care hospitals across 38 states by hospital characteristics, including ownership, rural or urban location, safety-net designation, and Critical Access Hospital designation.
Author(s): Melissa A. Miller, Leyi Lin, David P. Calfee, Amy Gehrke, Alex Bohl
Date: 10/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the rate of adult inpatient hospital stays involving five healthcare-associated infections (HAI) in 2019 and 2021. Presents data from an analysis of 2019 and 2021 State Inpatient Databases (SID) from public, non-federal acute-care hospitals across 38 states by hospital characteristics, including ownership, rural or urban location, safety-net designation, and Critical Access Hospital designation.
Author(s): Melissa A. Miller, Leyi Lin, David P. Calfee, Amy Gehrke, Alex Bohl
Date: 10/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Demographic-Based Disparities in Outcomes for Adults with Central Line-Associated Bloodstream Infections in the United States: A National Inpatient Sample Database Study (2016–2020)
Analyzes cost, length of stay, and mortality for hospitalized adults with central line-associated bloodstream infections (CLABSI), utilizing 2016-2020 National Inpatient Sample (NIS) data. Provides data on differences in care conditions by race and ethnicity, region, and rural versus urban location and teaching versus non-teaching hospital status.
Author(s): Marie Dix, Troy Belleville, Anjali Mishra, et al.
Citation: Frontiers in Medicine, 11
Date: 10/2024
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Analyzes cost, length of stay, and mortality for hospitalized adults with central line-associated bloodstream infections (CLABSI), utilizing 2016-2020 National Inpatient Sample (NIS) data. Provides data on differences in care conditions by race and ethnicity, region, and rural versus urban location and teaching versus non-teaching hospital status.
Author(s): Marie Dix, Troy Belleville, Anjali Mishra, et al.
Citation: Frontiers in Medicine, 11
Date: 10/2024
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News Media Coverage of Rural Hospital Closures and the Causes
Reports findings from attributed causes of rural hospital closures through analysis of news media reports. Features statistics on attributed causes for closures, from a sample of 137 closures between 2010-2022.
Author(s): Harini Somanchi, Julie Perry, Kristie Thompson, George Pink
Date: 10/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Reports findings from attributed causes of rural hospital closures through analysis of news media reports. Features statistics on attributed causes for closures, from a sample of 137 closures between 2010-2022.
Author(s): Harini Somanchi, Julie Perry, Kristie Thompson, George Pink
Date: 10/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Hospital Service Lines: Changes Over Time and Impacts on Profitability
Analyzes associations between changes in service lines and profitability at rural hospitals, utilizing 2010-2021 Medicare cost report data. Includes data on service lines including Rural Health Clinics (RHCs), traditional clinics, CT scans, MRI scans, delivery rooms, nurseries, anesthesiology, electrocardiology, and more.
Author(s): Brian E. Whitacre, Claudia A. Rhodes, Alison F. Davis
Citation: Journal of Healthcare Management, 69(5), 350-367
Date: 10/2024
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Analyzes associations between changes in service lines and profitability at rural hospitals, utilizing 2010-2021 Medicare cost report data. Includes data on service lines including Rural Health Clinics (RHCs), traditional clinics, CT scans, MRI scans, delivery rooms, nurseries, anesthesiology, electrocardiology, and more.
Author(s): Brian E. Whitacre, Claudia A. Rhodes, Alison F. Davis
Citation: Journal of Healthcare Management, 69(5), 350-367
Date: 10/2024
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An Updated Model of Rural Hospital Financial Distress
Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health
Date: 10/2024
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Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health
Date: 10/2024
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